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Non-specific abdominal pain: the resource implications.

W G Sheridan1, A T White, T Havard

  • 1Department of Surgery, University Hospital of Wales, Cardiff.

Annals of the Royal College of Surgeons of England
|May 1, 1992
PubMed
Summary
This summary is machine-generated.

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Non-specific abdominal pain (NSAP) significantly impacts emergency surgical admissions, with 67% of young patients diagnosed with NSAP. This condition incurs substantial healthcare costs, estimated at over £100 million annually in the UK.

Area of Science:

  • General Surgery
  • Healthcare Economics

Background:

  • Non-specific abdominal pain (NSAP) accounts for a substantial number of emergency surgical admissions.
  • The economic burden of NSAP on healthcare systems requires thorough assessment.

Purpose of the Study:

  • To evaluate the prevalence and resource implications of NSAP in young adults admitted to a general surgical firm.
  • To estimate the direct cost of NSAP to the National Health Service (NHS).

Main Methods:

  • A consecutive series of 100 patients aged 15-35 years admitted with lower abdominal pain were analyzed.
  • Resource utilization, including hospital stay and associated costs, was detailed for NSAP cases.
  • A postal questionnaire was used for wider assessment of the problem's scale.

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Main Results:

  • 67% of patients admitted with lower abdominal pain were diagnosed with NSAP, representing 13.29% of all general surgical admissions.
  • The majority of NSAP patients (75%) were female, with a mean hospital stay of 4.1 days.
  • The mean cost per NSAP case was £807, primarily due to hospital stay. Annual costs in Wales and the UK were estimated at £6 million and over £100 million, respectively.

Conclusions:

  • NSAP represents a significant diagnostic and economic challenge within emergency general surgery.
  • The findings highlight the substantial resource utilization and financial impact of NSAP on the NHS.
  • Further strategies are needed to manage NSAP admissions and reduce associated healthcare expenditures.